<![CDATA[ABSTRAK Koeksistensi masalah gizi diberbagai rentang usia seperti, kekurangan gizi, defisiensi mikronutrien, kelebihan berat badan, dan obesitas, yang secara kolektif disebut sebagai beban ganda malnutrisi, merupakan tantangan kesehatan masyarakat yang besar dan terhubung dengan meningkatnya beban penyakit tidak menular (PTM) di Indonesia. Tantangan ini sangat terasa di masyarakat dengan akses terbatas terhadap layanan kesehatan preventif, khususnya di daerah pedesaan. Program pengabdian masyarakat ini bertujuan untuk membangun model skrining kesehatan masyarakat terintegras untuk mengidentifikasi profil risiko gizi dan kardiometabolik, memberikan edukasi kesehatan, dan memberikan intervensi gizi dan kesehatan terarah berdasarkan hasil pemeriksaan individu dalam berbagai rentang usia dalam komunitas sasaran. Kegiatan PkM ini menjadi model solusi penguatan pengelolaan masalah gizi ganda dan pengelolaan PTM terintegrasi di berbagai rentang usia dalam masyarakat. Kegiatan skrining terintegrasi berbasis masyarakat dilakukan pada tanggal 25 Juli 2026, di Rumah Balita Pintar, Desa Jati Indah, Tanjung Bintang, Lampung Selatan. Sebanyak 100 peserta terdaftar berasal dari komunitas sasaran Desa Jati Indah dari berbagai rentang usia,dan didapatkan data lengkap dari 82 peserta, yang terdiri dari 38 anak dan 44 orang dewasa. Intervensi terintegrasiterdiri dari beberaapa tahap dari pendaftaran dan dokumentasi data identitas, penilaian antropometri sesuai usia, pengukuran tanda vital, pemeriksaan biokimia darah untuk glukosa, kolesterol, dan asam urat (GCU), pemeriksaan fisik diikuti edukasi kesehatan individual berbasis usia dan temuan fisik yang didapat, dan pemberian obat sesuai diagnosa klinis dan suplemen kepada peserta. Pada pemeriksaan dari kelompok anak-anak sebanyak 38 orang, skrining mengidentifikasi stunting 15,8%, wasting 7,9%, underweight 2,6%, dan indikasi risiko kelebihan berat badan 5,3%. Hasil pemeriksaan pada kelompok dewasa, diidentifikasi obesitas 59,0% (n=39). Hasil pengukuran GCU, diidentifikasiprediabetes 13,6% dan diabetes 4,5% (n=22), sedangkan kolesterol ambang batas hingga tinggi diamati 63,6% (n=11) dan hiperurisemia 33,3% (n=12). Hasil evaluasi pengetahuan kesehatan didapatkan sebelum intervensi, 15% peserta dikategorikan memiliki pengetahuan rendah, 56% sebagai sedang, dan 29% sebagai baik; setelah skrining dan edukasikesehatan individual, 37% dikategorikan sebagai sedang dan 63% sebagai baik, dan tidak ada peserta yang berada dalam kategori pengetahuan rendah, dan peserta PkM mendapatkan peningkatan pengetahuan mengenai kesehatan dan pola hidup sehat khususnya yang terkait dengan kondisi klinis yang ditemukan pada 14 orang anak anak dan 23 orang dewasa, dan mendapat pengobatan yang sesuai.Model skrining terintegrasi berbasis usia, dikombinasikan dengan edukasi kesehatan personal dan intervensi yang ditargetkan, menjadi strategi intervensi berbasis komunitas yang praktis untuk mengidentifikasi dini risiko gizi dan penyakit tidak menular (PTM), serta untuk memperkuat hubungan antara pencegahan berbasis komunitas dan layanan kesehatan yang sesuai dengan temuan klinis. Kata Kunci: Skrining Kesehatan Terintegrasi Berbasis Usia, Status Gizi, Tiga Beban Malnutrisi, Penyakit Tidak Menular, Intervensi Berbasis Komunitas. ABSTRACT The coexistence of nutritional problems across different stages of life, including undernutrition, micronutrient deficiencies, overweight, and obesity—collectively referred to as the double burden of malnutrition—represents a major public health challenge and is closely associated with the increasing burden of non-communicable diseases (NCDs) in Indonesia. These challenges are particularly relevant in communities with limited access to preventive health services, including rural areas. This community service program aims to develop an integrated community-based health screening model to identify nutritional and cardiometabolic risk profiles, provide health education, and deliver targeted nutritional and health interventions based on individual screening findings across different age groups. The program was designed as a practical community-based approach to strengthen the integrated management of multiple nutritional problems and NCD risks across the life course. An integrated community-based health screening program was conducted on July 25, 2026, at Rumah Balita Pintar, Jati Indah Village, Tanjung Bintang District, South Lampung Regency, Indonesia. A total of 100 participants from different age groups were registered, of whom 82 had complete data for analysis, consisting of 38 children and 44 adults. The integrated intervention consisted of participant registration and demographic documentation, age-appropriate anthropometric assessment, vital-sign measurements, point-of-care biochemical testing for glucose, total cholesterol, and uric acid, followed by physical examination, individualized age-appropriate health education based on examination findings, and targeted provision of medications and nutritional supplements when clinically indicated. Among the 38 children assessed, the screening identified stunting in 15.8%, wasting in 7.9%, underweight in 2.6%, and an indication of excess weight in 5.3%. Among adults, obesity was identified in 59.0% of participants with complete BMI data (n = 39). Point-of-care biochemical screening identified glucose values within ranges warranting further evaluation for prediabetes in 13.6% and diabetes in 4.5% of participants assessed (n = 22), while borderline-to-high levels of total cholesterol were observed in 63.6% (n = 11) and elevated uric acid levels in 33.3% (n = 12). Evaluation of health knowledge demonstrated a favorable shift following individualized health education: before the intervention, 15% of participants were categorized as having low knowledge, 56% as moderate, and 29% as good; after screening and individualized education, 37% were categorized as moderate and 63% as good, with no participants remaining in the low-knowledge category. In addition, individualized health education and appropriate treatment were provided to 14 children and 23 adults based on their clinical findings. An age-specific integrated community-based screening model combined with personalized health education and targeted intervention provides a practical approach for the early identification of nutritional and NCD-related risks across different age groups. The model may strengthen the linkage between community-based prevention, individualized health education, early risk identification, and appropriate health-care management. Further implementation should incorporate systematic referral and follow-up mechanisms to evaluate the sustainability of health knowledge improvement and subsequent health outcomes. Keywords: Age-Specific Integrated Health Screening, Nutritional Status, Triple Burden of Malnutrition, Non-Communicable Diseases, Community-Based Intervention.]]>
